Individual
RANDY E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CPT
Contact information
Practice address
300 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1160
(817) 757-1200
Mailing address
13900 LLANO DR, WEATHERFORD, TX 76087-9761
(817) 448-8318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113500
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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